A woman asks about immediate postpartum contraception after an uncomplicated vaginal birth. Which counselling principle is most appropriate?
Correct answer: A. Discuss her informed choice and method timing before discharge
- A. Discuss her informed choice and method timing before discharge
- B. Select a method without asking about her preference
- C. Delay all contraception until menstruation returns
- D. Advise that breastfeeding prevents pregnancy for one year
Explanation
Postpartum counselling should respect informed choice and consider breastfeeding, medical eligibility, timing, and the woman's reproductive plan. Lactational amenorrhoea is reliable only when its specific conditions are met, so menstruation need not return before another suitable method is started.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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